VPICU
Critical Care Telemedicine Program
Childrens Hospital Los Angeles
Childrens
Hospital Los Angeles, VPICU
Chris Baker
4650 Sunset Blvd. M.S. #12
Los Angeles, CA, 90027
Ph: 323-669-5408 Fax: 323-671-3877
http://www.vpicu.org Email: cbaker@chla.usc.edu
Network
Partners: Five community based hospitals are connected
to Childrens Hospital - Antelope Valley Hospital Medical
Center; Huntington Hospital Medical Center; Pomona
Valley Hospital Medical Center; Northridge Hospital
Medical Center and Ventura County Medical Center.
Project
Purpose: The VPICU Critical Care Telemedicine
Program uses telehealth technology to provide clinical
consultation to five community hospitals, which currently
send their pediatric patients to Childrens Hospital
Los Angeles (CHLA) for quaternary care services. These
consultations provide in depth telemedicine clinical
assessments, triage and transfer service. At each
site in the network, sophisticated telemedicine units
are in place and provide virtual examination capabilities
and instantaneous high quality audio, video and data
communication to facilitate care.
Outcomes
Expected: Provide life saving medical consultation
when most needed for children in current underserved
areas - OAT GPRA Performance Measures tool. Enable
children who do no require sophisticated medical care
at quaternary care centers to remain in their communities
- Patient/Provider Satisfaction survey. Decrease expense
and reduce load on health care resources such as the
transport system and tertiary care facilities - review
of tracking database and transport costs. Assure accurate
triage decisions and assure more rapid response for
children who truly need transport - regularly scheduled
peer review and QI partner network meeting.
Service
Area: Sites located in Los Angeles and Ventura
Counties in Southern California that service underserved
counties north - (Inyo, Kern) and multiple underserved
locations within Los Angeles County.
Services
Provided: Core service - real time clinical consultation
for critically ill children. Expansion services include
teleconference educational offerings for clinicians,
families and business associated with program.
Equipment:
Multiple base videoconferencing stations strategically
placed at CHLA connecting to custom remote site carts
engineered by Stryker Communications Corp. designed
to move easily through patient treatment areas with
extensive medical peripherals for pediatric care and
assessment.
Transmission:
T1 lines routed through gatekeeper allowing multipoint
conferencing. CALIFORNIA Northern California Telemedicine
Network Santa Rosa Memorial Hospital
Northern
California Telemedicine Network
Santa
Rosa Memorial Hospital
Sharon McComb
1287 Fulton Road
Santa Rosa, CA 95401-4923
Ph: 707-543-2006 Fax: 707-543-2429
E-mail: smccomb@srm.stjoe.org
Network Partners: Spoke Sites: Mendocino Coast
District Hospital, Ft. Bragg; Mendocino Coast Clinics,
Ft. Bragg; Redwood Coast Medical Services, Gualala;
Anderson Valley Health Center, Boonville; Southern Trinity
Health Services, Mad River; Redwoods Rural Health Center,
Redway; Eureka Community Health Center, Eureka; Copper
Towers Family Medical Center, Cloverdale; Potter Valley
Health Center, Potter Valley; Round Valley Indian Health
Center, Covelo; K'ima:w Indian Health Center, Hoopa;
Hub Sites: MedStream TeleCommunications, Inc, Santa
Rosa; UCSF Intensive Care Nursery at Santa Rosa Memorial
Hospital, Santa Rosa; Northern CA Center for Well-Being,
Santa Rosa.
Project
Purpose: Improve and expand access to (a) specialty
medical services for patients, (b) provider and patient
distance education programs and (c) utilization of
video-conferencing system for non-clinical applications
(i.e. administrative meetings, etc).
Outcomes
Expected: Patients have greater access to specialty
medical care / NCTN Telemedicine Specialty Clinic
Log. Fewer long distance trips for patients seeking
specialty care / Telemedicine Specialty Clinic Log.
Providers have improved access to CME distance ed.
programs / Non-Clinical Use of System Log Patients
have improved access to educational programs / NCTN
Non-Clinical Use of System Log. Increased use of video-conferencing
system for non-clinical applications / NCTN Non-Clinical
Use of System Log. Service Area: 5 counties in Northern
California (Del Norte, Sonoma, Mendocino, Trinity
and Humboldt).
Services
Provided: Specialty Medical Clinics: Behavioral
Health; Dermatology; Endocrinology; Diabetes Management,
Gynecology; Rheumatology; Otolaryngology, Pediatric
Cardiology. Future Possible Services: Pain Management;
Colposcopy. Distance Education: Health education programs
for patients. CME and CEU programs for providers.
Network Start Date: September 2000.
Equipment:
7 PolyCom FX video-conferencing systems; 1PolyCom
Viewstation video-conferencing system; 1 Tandberg
880 video-conferencing unit; 2 Zydacron PC based telemedicine
systems.
Transmission:
T1 and ISDN line transmission.
UC
Davis Northern California Telemedicine Project
University of California - Davis
UC
Davis Health System
Jana Katz
Center for Health and Technology, UC Davis
Ph: 916-734-5675 2300 Stockton Blvd
Sacramento, CA 95817
Fax: 916-734-1366 Email: jana.katz@ucdmc.ucdavis.edu
http://cht.ucdmc.ucdavis.edu
Network
Partners: All spoke sites are hospital based home
health/hospice programs. Colusa Regional Medical Center,
Mayers Memorial Hospital, Lassen Community Hospital,
Eastern Plumas District Hospital.
Project
Purpose: To establish rural sites as hubs with
spokes of their own that extend to community providers
to improve health care access and communication for
chronically ill, homebound, and geriatric patients
and those living in rural institutional settings through
the provision of telehealth home care.
Outcomes
Expected: The outcome of this project is to establish
telehealth home care in rural communities, which will
improve access to home health care for homebound patients,
extend the boundaries to which home health care is
provided in rural areas and improve patient monitoring
through home health care.
Service
Area: Northern California.
Services
Provided: Telehealth Home Care Store and Forward
Wound Care Distance Education
Equipment:
Telehealth Home Care-American Telecare Home Health
Units Store and Forward-Second Opinion Software and
Digital Camera Distance Education-Polycom and Tandberg
videoconferencing units
Transmission:
DSL, POTS (home health/hospice) ISDN/IP (Distance
Education)
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